Provider Demographics
NPI:1174358287
Name:MOTION MATTERS PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:MOTION MATTERS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:620-923-6001
Mailing Address - Street 1:602 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:KS
Mailing Address - Zip Code:67548-9525
Mailing Address - Country:US
Mailing Address - Phone:785-514-5555
Mailing Address - Fax:
Practice Address - Street 1:611 PEACE ST STE C
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:KS
Practice Address - Zip Code:67548-9587
Practice Address - Country:US
Practice Address - Phone:785-514-5555
Practice Address - Fax:785-380-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty